Cystic Lymphangioma of the Jejunal Mesentery in a Child
Issue: 2023 - Volume 6 [Issue 2]
Sopan N. Jatal *
Jatal Hospital and Research Centre, Latur, India.
Jatal Hospital and Research Centre, Latur, Tata Hospital, Mumbai, India.
Department of Pathology, MIMSR Medical College, Latur, India.
*Author to whom correspondence should be addressed.
Mesenteric cystic Lymphangioma are rare intra-abdominal benign tumours of the lymphatic vessels with an incidence of 1:250,000 hospital admission. Representing 5-6% of pediatric benign tumours with a male predominance. It is commonly found in children’s appearing at 60% birth and 40% by 2 years of age. A literature review of the studies of mesenteric cystic lymphangioma revealed that only 19% cases were reported from 1960 to 2009.
The cystic lymphangioma consists of dilated lymphatic vessels but lacks connection to the adjacent normal lymphatic spaces. Clinical presentation of mesenteric cystic lymphangioma are asymptomatic abdominal mass to symptomatic of an acute abdomen or intestinal obstruction due to volvulus.
Herein we report a rare case of a huge mesenteric cystic lymphangioma of the Jejunum mesentery in a 5 years old boy. Presenting with asymptomatic palpable abdominal mass in the epigastric and umbilical region. Mesenteric lymphangioma is an extremely rare entity. Total surgical excision of the small bowel along with the huge cystic mass and jejuno-ileal anastomosis.
Keywords: Asymptomatic abdominal mass, mesenteric cystic lymphangioma
How to Cite
Gunadi, Kashogi G, Prasetya D, Fauzi AR, Daryanto E, Dwihantoro A. Pediatric patients with mesenteric cystic lymphangioma: A case series. Int J Surg Case Rep. 2019;64:89-93.
DOI: 10.1016/j.ijscr.2019.09.034. Epub 2019 Oct 1. PMID: 31622933; PMCID: PMC6796738.
Heredea R, Cimpean AM, Cerbu S, Popoiu CM, Jitariu AA, Raica M. New approach to rare pediatric multicystic mesenteric lymphangioma; Would It guide the development of targeted therapy? Front Pediatr. 2018;6:223. DOI: 10.3389/fped.2018.00223. PMID: 30131951; PMCID: PMC6090038.
Altijani AM, Abdul-Rahim Muhammad T. Mesenteric cystic lymphangioma in an 11-month infant: A case report. World J Surg Surgical Res. 2020;3:1245.
Yosra Kerkeni, Arije Zouaoui, Fatma Thamri, MD, Cystic lymphangioma of the small bowel mesentery in a child. The Journal of Pediatrics. Available:https://doi.org/10.1016/j.jpeds.2021.12.032
Sushma Thapa, Abhinav Sharma, Dipesh Upreti, Om Bahadur Karki, Sudeep Regmi, Dilasma Ghartimagar, Arnab Ghosh. A huge mesenteric lymphangioma presenting as a small bowel volvulus in a paediatric patient: A case report. Case Reports in Pathology. 2022;Article ID 3033705:5 pages.
Niharika Prasad. Abdominal cystic lymphangioma in a child, Eruorad. DOI: 10.35100/eurorad/case.17259
Sosnowska-Sienkiewicz P, Miedziarek C, Mańkowski P. A rare presentation of mesenteric cystic lymphangioma in 5-year-old girl. Pediatria Polska - Polish Journal of Paediatrics. 2021;96(4):285-287. DOI:10.5114/polp.2021.109297
Prashant V, Madhu K, Rawat JD. A huge cystic mesenteric lymphangioma of small intestine involving ileum: An unusual cause of abdominal pain. Am J Clin Case Rep. 2022;3(4):1069.
Ali HA, Zeriouh B, Bouzayan L, Jabi R, Bouziane M. Giant cystic lymphangioma of the stomach: A case report. Ann Med Surg (Lond). 2020;61:8-12.
Lui SA, Nyo YL, Mali VP. Ileal cystic lymphangioma presenting with acute appendicitis. J Indian Assoc Pediatr Surg. 2018;23:36-38
Konen O, Rathaus V, Dlugy E, Freud E, Kessler A, Shapiro M, et al. Childhood abdominal cystic lymphangioma. Pediatr Radiol. 2002;32:88-94.